Individual provider Active NPI

Jessica Sitko, LAC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1447169149
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-23576 Issued in AZ
Practice address
20401 N 19TH Ave Apt 2067
Phoenix, AZ 85027-3575
Phone
(610) 428-5692
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-23576 AZ Primary

Addresses

Primary practice location

20401 N 19TH Ave Apt 2067
Phoenix, AZ 85027-3575

Mailing address

20401 N 19TH Ave Apt 2067
Phoenix, AZ 85027-3575
Phone (610) 428-5692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1447169149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 19TH AVE APT 2067",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273575",
            "telephone_number": "610-428-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 19TH AVE APT 2067",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273575",
            "telephone_number": "610-428-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKO",
        "first_name": "JESSICA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.